| NPI | 1073904991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA PAIGE LIBON STRACK Owner 781-773-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA RN22722000) |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2015-02-13 |